Individual
DR. MICHAEL JOHN KLITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 588-7057
(865) 691-3163
Mailing address
6025 BROOKVALE LN, SUITE 205, KNOXVILLE, TN 37919-4031
(865) 588-7057
(865) 691-3163
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1761
TN
103TC0700X
Clinical Psychologist
1761
TN
Other
Enumeration date
10/16/2006
Last updated
04/17/2008
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